Active NPI
Jason L. Rannfeldt, D.C.
- Chiropractor
- Davenport, IA
National Provider Identifier
1790764132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A06165
- Practice address
- 2035 Bridge Ave
Ste 101
Davenport, IA 52803-2470 - Phone
- (563) 324-1514
- Fax
- (563) 884-4281
- NPI assigned
- Jan 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A06165 | IA | Primary |
Addresses
Primary practice location
2035 Bridge Ave
Ste 101
Davenport, IA 52803-2470
Mailing address
2035 Bridge Ave
Ste 101
Davenport, IA 52803-2470
Phone (563) 324-1514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0182360 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryant Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
| Rannfeldt Family Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Davenport, IA
- NPI 1316115959
-
- Chiropractor
- Davenport, IA
- NPI 1316547813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522022400000",
"number": "1790764132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2035 BRIDGE AVE",
"address_2": "STE 101",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032470",
"telephone_number": "563-324-1514",
"fax_number": "563-884-4281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2035 BRIDGE AVE",
"address_2": "STE 101",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032470",
"telephone_number": "563-324-1514",
"fax_number": "563-884-4281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANNFELDT",
"first_name": "JASON",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2018-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "A06165",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0182360",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.